Evidence map›Paper›PMID 28198030›Full record

ArticlePrenatal diagnosis2017

Confined placental mosaicism for 22q11.2 deletion as the etiology for discordant positive NIPT results.

M Bunnell, C Zhang, C Lee, D W Bianchi, L Wilkins-Haug

Open access · greenAbstract readCase ReportsLetter
In one paragraph

Article in Prenatal diagnosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Clinical utility of noninvasive prenatal screening for expanded chromosome disease syndromes.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

M BunnellMaternal Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-2910-9662
C ZhangJackson Laboratory for Genomic Medicine, Farmington, CT, USA.
C LeeJackson Laboratory for Genomic Medicine, Farmington, CT, USA.
D W BianchiMother Infant Research Institute, Tufts Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9270-5267
L Wilkins-HaugMaternal Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USDartmouth College · USEwha Womans University · KRJackson Laboratory · USTufts Medical Center · US

Funding

Sequence Analysis of Circulating Cell-free DNA During PregnancyZIAHG200400 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIANCHI, DIANA · 2018 to 2025
$524k
Intramural NIH HHS ZIA HG200400
6 · The paper itself

Abstract

22q11.2 deletion, the most common microdeletion syndrome within the general population, is estimated to have a prevalence of 1 in 3000 to 6000. Non-invasive prenatal testing has recently expanded to include screening for several microdeletions including 22q11.2. Given the expansion of prenatal screening options to include microdeletions, it is important to understand the limits of this technology and the variety of reasons that a discordant positive result can occur. Here, we describe a case of a pregnant woman who received a positive non-invasive prenatal maternal plasma screen for 22q11.2 deletion. Maternal and postnatal neonatal peripheral blood cytogenetic, PCR, and fluorescence in situ hybridization studies were normal, but the placenta was mosaic for 22q11.2 deletion in two of three biopsy sites. This case illustrates both the complexities of pre- and post-test counseling for microdeletion screening and the potential for a discordant positive microdeletion result because of confined placental mosaicism. © 2017 John Wiley & Sons, Ltd.

Indexed as

Diagnostic ErrorsMosaicism22q11 Deletion SyndromeAdultFemaleHumansKaryotypingPlacentaPregnancyPrenatal Diagnosis

Identifiers

PMID28198030
PMCPMC10131250
OpenAlexW2588245779

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.